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APPLICATION FOR PLUMBING PERMIT
,
DMSION OF BUILDING AND SAFETY
Department of County Engineer
County of 1.08 Angeles BUILDING
JOHN A.L.AMBIE, COUNTY ENGINEER ADDRESS • _ >I��i�,.w
CASSATT D.GRIFFINSUPT OF BUILDING
LOCALITY jl9,
FOR APPLICANT TO FILL IN NEAREST
• CROSS ST. i off:.
OWNS DISTRIcj- D. GROUP IfN)
MAIL READY FOR INSPECTION
`ADDRE88
INDUSTRIAL
CITY Z 11 s TEL.NO. WASTE APPROVAL
PLUMBE INSPECTION RECORD
ADDRESS ,
CITY �jy q�q ?:E�.
_LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ l�(.�, �j '�¢¢ � vnr `I`6 na
BATHTUB @ $1.00 �— A�
b Gtr �i�'/7' It a
SHOWER @ $1,00
LAVATORY (WASH BASIN) @ $1.00 �I-l.y��
KITCHEN SINK @ $1.00 /
/-•myr / 6 V-7.6 kAF 7-
DISHWASHER @ $1.00 Y�/pf' 1/' k�t /V ,a �GO
LAUNDRY TUB OR TRAY $1.00 Jhcr IV
r
CLOTHES WASHER @ $1.00 �/�
WATER HEATER @ $1.00 _3e�-� r �4 r /�
GAS SYSTEM', Q $1:00 ��� FAe 77CF
. &R—,- zex-r nl ig A, fir) n
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ i 00 VEN
ROUGH PLUMBING S
GAS PIPING
TOTAL FEE GAS T
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONI".
HOT WATER HEATER
AND STATE THAT THE ABOVE.IS CORRECT AND AGREE TO COMPLYWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORGAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFCALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVEUTILITY CO..NOTIFIED•
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE /
OF PERMITT FINAL f,(
OHN A.L.AMBIE.COUNTY ENGINEER VALIDATIO ROBERT A.WOOD,CHIEF PLSG. INSPECTOR
CK. M., CA9H
[ ' 4 6ki 6 IA LIAR 3 0 3 2.0 0it)
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY PLUMBING
WILLIAM J. FOX, County Engineer
NU-
FOR APPLICANT TO FILL IN DISTRICT O. GROUP ZONE ERM
IT
Reliance Plumbing & HeatingQ Co.
PLUMBER 5 b RECEIVED BY READY FOR 11 ISSUED
9 SOUTH PRIMROSE AVE. FIRST INSPECTION
ADDRESS MONROVIA CALIFORNIA ��
Telephone ELIIott"126 BUILDING
CITY TEL No. ADDRESS W
COUNTYQ Q LOCALITY
LICENSE NO. O Y EXPIRES 3
NEAREST
PERMIT FEES CROSS ST. y..
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
1 WATER CLOSET(TOILET) 0.50 a 8.0 ADDRESS
BATH TUB 0.50 L) CITY TEL No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AABOVET THE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0 0.50 eO AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0 0.50 O ANOELEB COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPER DESCRIBED ABOVE.
13AS SYSTEM OUTLETS O.SO O 17. SIGNATURE OF ,
WATER HEATER @ 0.50 t'Z3 PERMITTEE
SLOP SINK @ 0.50 - INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN ® 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 6!! 0.50
URINAL IG 0.50
Q
HOUSE SEWER Q 0.50 Z
MISC LLANEOUS 19
' 0 o
APPROVALS
DATE INBP CTOR'S NAME
ROUGH PLUMBING i
GAS PIPING
GAS VENT
CESSPOOL CESSPOOL r
SEPTIC TANK' SEPTIC TANK
DRAIN ( ) PIT 1.00 SEWER L
PERMIT • 1.00 GAS TEST
I UTILITY CO.NOTIFIED'!
TOTAL FEE1-9 -710
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FINAL
76A667 DBS#17 6-52 /